ID |
原文 |
译文 |
1057 |
对于高龄(>60岁)合并症多或PaO2/FiO2<200mmHg的患者,建议收住重症医学科。
|
Older patients (> 60 years old) with more complications or PaO2/FiO2 less than 200 mmHg should be treated in ICU.
|
1058 |
3.2机械通气
|
3.2 Mechanical Ventilation
|
1059 |
1)无创通气(Noninvasive Ventilation, NIV) |
(1) Noninvasive Ventilation (NIV)
|
1060 |
COVID-19部分重症患者可快速进展至ARDS,过高的通气驱动和NIV可能加重肺损伤。
|
Some severe patients progress to ARDS rapidly. |
1061 |
NIV导致的胃肠胀气和患者不耐受可能引起吸入性肺炎。 |
Excessive inflation pressure may cause gastric distension and intolerance which contribute to aspiration and worsen lung injury. |
1062 |
我们不推荐对HFNC治疗失败的患者常规使用NIV。 |
NIV is not strongly recommended in COVID-19 patients who fail HFNC treatment. |
1063 |
若患者合并急性左心衰竭或慢性阻塞性肺病或免疫抑制时,可短期使用(不超过2h)并密切监测,若患者窘迫症状或PaO2/FiO2无明显改善,尽早气管插管。
|
A short-term (less than 2 hours) use of NIV can be closely monitored if the patient has acute left heart failure, chronic obstructive pulmonary disease or is immunocompromised. Intubation should be per formed as early as possible if improvement of Respiratory distress symptoms or PaO2/FiO2 is not observed.
|
1064 |
NIV建议使用双回路的呼吸机; |
NIV with a double circuit is recommended. |
1065 |
使用单管路无创呼吸机时在面罩和呼出阀之间加装病毒过滤器;选择合适型号的面罩,减少漏气导致的病毒播散风险。
|
A virus filter should be installed between the mask and the exhalation valve when applying NIV with a single tube. Suitable masks should be chosen to reduce the risk of virus spread through air leakage.
|
1066 |
2)有创机械通气(Invasive Mechanical Ventilation,IMV)
|
(2) Invasive Mechanical Ventilation
|